NCC211318_NOI Application_20210312

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/2/2021 4:31:58 PM (NCG01 NOI Submission)
Approve by Meloy, Michael 3/4/2021 10:49:49 AM (Review- Construction NOI 46063)
• Garcia, Lauren V reassigned the task to Meloy, Michael 3/3/2021 2:20 PM
• The task was assigned to Garcia, Lauren V by round robin distribution 3/2/2021 4:32 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 4, 2021 5:00 PM
3/2/2021 4:32 PM
Submit by Selkane, Aziza 3/12/2021 6:54:14 AM (Payment Verification for NCC211318)
* Talbert & Bright, Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 3/12/2021 6:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 15, 2021 5:00 PM
3/4/2021 10:51 AM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
Are you submitting r No
an NOI that was r Yes
rejected before?
Previous Rejected 45886
NOI No.
Prior Reviewer Michael Meloy
Name
1a. Project Name * NEW CORPORATE TAXILANE, CORPORATE HANGAR PHASE 1 SITE
PREPARATION & ACCESS ROAD
1 b. Specific Lot This field may be used to list specifc lot numbers.
Numbers
1 c. Parcel ID List all RNs associated w ith this project.
Number(s) (PIN) 0029143
2. County* Pitt
3. Highway or Street 400 AIRPORT ROAD, UNIT A
Address * Street narre only is acceptable if no address number assigned yet
4. CityorTownship* GREENVILLE
5. State * NC
6. Zip Code * 27834
7. Latitude * Enter the latitude in decirral degrees
35.6357
8. Longitude* Enter the longitude in decimal degrees (MJSTbe negative)
-77.3841
If you do not know the latitude and longitude coordinates for this project, you can search the location on this map of
North Carolina. Look for the coordinates in the bottom left corner.
9. Date to Begin* 03/01/2021
Estimated Construction Project Start Date
10. Date to End* 07/31/2021
Estimated Construction Project End Date

11. SIC (Primary)* Commercial (1542)
Standard Industrial Classification for Development
12. Acres to be 7.00
disturbed* (including off -site borrow and waste areas)
13. Total site area 870.90
(acres) *
14. Post- 1.24
construction (Estirrated)
impervious area
(acres) *
NCC Project NCC-PITT-2021-NEW CORPORATE TAXILANE, CORPORATE
Tracking ID HANGAR PHASE 1 SITE PREPARATION & ACCESS ROAD
Assigned automatically
Below you must enter waterbody information for surface waters affected by this project. Please consult
DWR's Surface Water Classifications Map Viewer to find waterbody name and corresponding index number. Please
enter only immediate receiving waterbodies - not waters downstream of those unless the project extends there. You
may enter up to 3 waterbodies if needed.
15a. Receiving TAR RIVER
Waterbody* Name of waterbody into which storm ater runoff will discharge
15b. Waterbody 28-(94)
Index No.* NC Waterbody Index Number
Stormwater V No
discharges will flow r Yes
to additional
wate rs *
16a. Is this project r Yes
subject to the NC r No, not subject to NC SPCA
Sediment Pollution
Control Act?*

B. Permittee Information
Part B. ^
F2rnittee Inforrration - Legally Fbsponsible Entity and Individual
Important: The person who signs the NOI Certification Form and signs the Certification in Section E of this application
form should be the same person as listed in THIS SECTION, or an authorized responsible individual within the same
organization. That person must be a responsible corporate officer who owns or operates the construction activity, such
as a president, secretary, treasurer, or vice president, or a manager that is authorized in accordance with Part IV,
Section B, Item (6) of the NCG010000 General Permit. For more information on signatory requirements, see Part
IV, Section B, Item (6) of that permit.
1. Organization Legally Pesponsible Entity
Name * PITT-GREENVILLE AIRPORT AUTHORITY
IF pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field.
Note: The organization name must match the business entity name registered with the NC Secretary of State. You can
verify the registration here.
2. First Name * KIM
IF Corporation, enter Faegistered Agent First %rre
3. Last Name* HOPPER
IF Corporation, enter Pbegistered Agent Last %rre
3b. Title EXECUTIVE DIRECTOR
4. Permitee E-mail [e-mail]
Address*
5. Permittee 2529022030
Telephone No.*
6. Permittee Mailing Street Address
Address* 400 AIRPORT ROAD, UNIT A
Address Line 2
City
GREENVILLE
Fbstal / Zip Code
27834
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
400 AIRPORT ROAD, UNIT A
Address Line 2
city
GREENVILLE
Fbstal / Zip Code
27834
State / Ffovince / Fbgion
NC
Country
US
State / Frovince / Region
NC
Country
US
8. Type of Ownership is only individual if an individual is naned in B.1. above.
Ownership* Government -County

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
ERIC
Contact - First
Name *
2. Primary Site
STUMPH
Contact - Last
Name *
3. Title
PROJECT MANAGER
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
9107635350
Telephone No.
6. Organization
TALBERT AND BRIGHT INC.
Name
7. Site Contact
Street Address
Mailing Address*
4810 Shelley Drive
Address Line 2
city
Wilmington
Fbstal / Zip Code
28405-1442
8. Consultant Name
(Optional)
ERIC STUMPH
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
9107635350
Telephone No.
11. Billing E-mail
(For Annual Fee correspondence)
[e-mail]
Default is legally responsible person e-rrail
12. Billing
(For Annual Fee correspondence)
Telephone
2529022030
Default is legally responsible person telephone
State / Rovince / Region
NC
Country
US

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 09/30/2020
Approved *
2. E&SC Plan Project PITT-2019-011
Number/ID * Assigned by agency or local program
3. E&SC Plan r State DEQ Office
Approved by* r Local Program
4. State DEQ Office * Washington (WaRO)
Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a
complete application. Please also upload a site map showing the overall extent of the project (for linear projects, can
include the beginning point and end point coordinates in the "Notes" box below).
5. E&SC Plan Pitt-2019-011 New Corporate Taxilane, Corporate
Approval letter or 865.8KB
Hangar Phase 1 Site Prep .... pdf
Grading Permit
Mist be RDFforrrat
6. Site Location Map Mist be RDFforrret (lint 201VB)
PITT GREENVILLE AP quad.pdf 2.81VIB
Rease do not upload entire set of E&SC plans.
7. Notes (Optional) Provide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies if necessary.
8. NOI Certification PGV e-NOI Signed form.pdf 568.9KB
Form Mist be RDFforrret
This is an Express r No
Review Project* r Yes

E. Certification
North Carolina General Statute 143-215.66 (1) provides that:
Any person who knowingly makes anyfalse statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement
of a material fact in a rulemaking proceeding or contested case under this Artcle; or who falsifies, tampers with, or knowingly renders
inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
Commission implementing this Artcle shall be guilty ofa Class 2 misdemeanor which may include a fine not to exceed ten thousand
dollars ($10,000).
Under penalty of law, I certify that:
17 I am the person responsible for the construction activities of this project, for
satisfying the requirements of this permit, and for any civil or criminal penalties
incurred due to violations of this permit.
rJ The information submitted in this NOI is, to the best of my knowledge and belief,
true, accurate, and complete based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the
information.
* 17 I will abide by all conditions of the NCG010000 General Permit and the
approved Erosion and Sediment Control Plan.
* rJ I hereby request coverage under the NCG010000 General Permit and
understand that coverage under this permit will constitute the permit
requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
Specify if you are:* IT The Legally Responsible Person named on this Notice of Intent
f Authorized Responsible Person* (signing on behalf of Legally Responsible
Person named in Part B)
Important: The person who electronically signs this Certification above must be the same person who signs the NOI
Certification Form. If that person is signing on behalf of the Permittee, that individual must be an authorized responsible
person within the same organization as the Permittee. *An authorized individual is a responsible corporate officer who
owns or operates the construction activity, such as a president, secretary, treasurer, or vice president, or a manager
that is authorized in accordance with Part IV, Section B, Item (6) of the NCG010000 General Permit. For more
information on signatory requirements, see Part IV, Section B, Item (6) of that permit.
Signature
Type Name* BILL HOPPER
Title EXECUTIVE DIRECTOR
Organization Legally Plesponsible Entity
PITT-GREENVILLE AIRPORT AUTHORITY
Date * 03/02/2021

F. Tracking and COC Info
NOI Tracking No. 46063
NC Reference No.
NCG01-2021-1318
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC211318
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 1318
Sequential nurrber for subrrittal that is incremented by Stored Frocedure
COC Year 2021
Year of date reviewed (used to assign YY digits after "NOC' in COCno.)
Initial Invoice No. NCC211318-2021
Invoice Due Date 4/3/2021
Initial Fee $ 100.00
Invoice Status OPEN